Dr David Joffe MB BS(Hons), PhD, FRACP
@davidjoffe64.bsky.social
12K followers 510 following 3.6K posts
Respiratory and Sleep Medicine Neurobiology and Long Cövid WHN Long Covid Working Group Vice Chair
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davidjoffe64.bsky.social
MISC can occur with the first O et subsequent infections...

You don't get to choose
davidjoffe64.bsky.social
I'm completely without words!!

Professor Hotez named me in his acknowledgements 😳😳

My Goodness... I'm just a Lung and Sleep Dude🤦🏻‍♂️

What an awesome honour😊🙏🏻
davidjoffe64.bsky.social
Arrived today 👏🏻👏🏻‼️

Looking forward to reading it!

In the darkest hours... There are still amazing humans 💖
davidjoffe64.bsky.social
I would suggest the evidence for MECSF isn't strong. The viral/environmental triggers are many and not often identifed.

COVID? The evidence for pathways of altered gene expression are plentiful. P53 and many involved in the hosts immune response to infection.
davidjoffe64.bsky.social
Reasons why I could NEVER practice in the American healthcare system

#8755787654
davidjoffe64.bsky.social
The double-edged sword: How SARS-CoV-2 might fuel lung cancer:
Investigating the potential oncogenic mechanisms of the novel coronavirus
in lung carcinogenesis

doi.org/10.1016/j.ma...
Redirecting
doi.org
davidjoffe64.bsky.social
🧠 Daily Feed of Brain Damage 🧠

bmcinfectdis.biomedcentral.com/articles/10....
Association between mental health symptoms and autoimmunity in patients with long COVID - BMC Infectious Diseases
Background Neuropsychiatric symptoms are common features in long COVID. The pathogenesis of neuropsychiatric manifestations in both acute COVID-19 and long COVID remains unclear. This study aimed to examine mental health symptoms—depressive, anxiety, and insomnia symptoms—in COVID-19 survivors with long COVID, and to explore their potential association with autoimmune activity. Methods We conducted an observational, cross-sectional study of 228 adults recruited from a long COVID program in Cartagena, Colombia. Participants underwent clinician-administered interviews and completed validated psychometric scales to assess depressive (PHQ-9), anxiety (GAD-7), and insomnia (ISI) symptoms. Sociodemographic, clinical, and biological data were collected. The autoantibody panel included antinuclear antibodies (ANA), anti-SSA/Ro, anti-SSB/La, anti-RNP, anti-Smith (Sm), rheumatoid factor (RF), anti-thyroglobulin (Tg), and anti-thyroid peroxidase (TPO), measured via ELISA and immunofluorescence. Robust logistic regression models were used to evaluate associations between long COVID, autoantibody positivity, and mental health symptoms, adjusting for age, sex, and relevant covariates. Results 57% of participants with a history of COVID-19 acute infection reported long COVID. In participants with long COVID, we reported high proportions of depressive (21.2%), anxiety (31.2%), and insomnia (28.7%) symptoms. Moreover, an association of all three mental health symptoms with autoantibody positivity (particularly antinuclear antibodies [ANA] isolated or co-occurring with anti-TPO antibodies) was observed in individuals with long COVID. Our findings suggest a potential association between psychopathological symptoms, autoantibody positivity, and distinct clinical profiles of long COVID, warranting further longitudinal investigation. Conclusions Mental health symptoms (MHS) should be considered one of the main targets involved in translational research in long COVID. There is an urgent need for consultation-liaison physicians to work closely with immunologists, rheumatologists, and pain medicine physicians in clinical settings as well as in research. This will contribute to a better understanding of the impact of MHS during illness in long COVID variants.
bmcinfectdis.biomedcentral.com
davidjoffe64.bsky.social
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davidjoffe64.bsky.social
Nope... Apharesis doesn't work like that. These remnants aren't a part of the micro-clotting pathology, they drive inflammation.

The HELP studies have never been properly published or scrutinized.
davidjoffe64.bsky.social
This paper again points to viral remnants as a trigger for LC.

Nano-crystals require further evaluation 🙏🏻

doi.org/10.3390/v171...
doi.org